[Combined surgical-antibiotic therapy of actinomycosis of the adnexa].
The majority of patients presenting with tubo-ovarian abscess caused by abdominopelvic actinomycosis are women using an IUD. Since the course of this disease is afebrile, and the diagnosis often established relatively late, it typically simulates a malignant tumour of the lower abdomen. Except for leukocytosis and an increased blood sedimentation rate, laboratory findings are within the normal range. The infection infiltrates neighboring structures, and hence a secondary involvement of the intestine is common. Two cases are presented, successfully treated by a combined operative-antibiotic approach.
Abfalter
E
E
Univ.-Klinik für Frauenheilkunde Innsbruck.
Schröcksnadel
H
H
Peer
D
D
Müller
E
E
Sölder
E
E
D000196:Actinomycosis / Q000188:drug therapy / Q000601:surgery*; D000328:Adult; D000667:Ampicillin / Q000008:administration & dosage*; D002981:Clindamycin / Q000008:administration & dosage*; D003131:Combined Modality Therapy; D005184:Fallopian Tube Diseases / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D008875:Middle Aged; D010049:Ovarian Diseases / Q000188:drug therapy / Q000601:surgery*; D010878:Piperacillin / Q000008:administration & dosage*
D002981:Clindamycin; D000667:Ampicillin; D010878:Piperacillin
Kombiniert operativ-antibiotische Therapie der Adnexactinomykose.